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Section5 (Harper College)

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Harper College
Environmental Health & Safety Procedure Manual
1
SECTION 5–INCIDENT / INJURY
MANAGEMENT
5.1 Incident/Injury Management
5.2 Incident/Injury Investigation
5.3 Incident Investigation Report
Reviewed: August 2014
Date Accepted: April 2002
Update: November 2019
Harper College
Environmental Health & Safety Procedure Manual
2
5.1 INCIDENT / INJURY MANAGEMENT
A. Objective
To provide guidelines for the management of incidents and injuries, and to comply with all
applicable requirements.
B. Scope
All employees.
C. References
Department of Labor, Occupational Health and Safety Administration (OSHA) 29 Code
of Federal Regulations 1904, Illinois Department of Labor 820 ILCS 225 Health and
Safety Act.
D. Procedure
• LIFE-THREATENING INJURIES
Examples of life-threatening circumstances are severe chest pains, gunshot
wounds, severe burns, hemorrhaging, severe head injury, open (compound)
fractures, etc.
1. Call 911 let them know the need for an ambulance.
2. Notify the injured person’s supervisor of the incident.
3. If the incident was due to a work related event the supervisor should
complete an Incident/Injury Report and send it to Human Resources, with a
copy to Environmental Health and Safety.
• OTHER INJURIES (NON-LIFE-THREATENING)
1. Notify the injured person’s supervisor of the incident.
(If the supervisor is not available notify Harper Police.)
2. Escort the injured person Northwest Community Healthcare (NCH)
Outpatient Care Center at Harper College in building M.
• Open Hours:
o Monday - Thursday: 7 a.m. – 7 p.m.
o Friday: 7 a.m. – 5 p.m.
o Saturday & Sunday: 8 a.m. – 2 p.m.
3. IF NCH Harper is closed, go to NCH Schaumburg at 519 S. Roselle Road,
Schaumburg (Roselle Rd. and Weathersfield Way).
• Open Hours:
o Monday – Friday: 7 am to 10 pm
o Weekend and Holidays: 8 am to 6 pm
4. For After hours (10 p.m. – 7 a.m.) go to NCH Emergency Room, 800 W.
Central Road, Arlington Heights
5. If the incident was due to a work related event the supervisor should
complete an Incident/Injury Report and send it to Human Resources, with a
copy to Environmental Health and Safety.
• ALL TYPES OF INJURIES
1. Keep the injured person as comfortable as possible.
2. Do not move the injured person any more than necessary for his/her safety.
3. Never administer liquids to an unconscious victim.
4. Do not remove objects that may be embedded into the injured person’s skin.
Harper College
Environmental Health & Safety Procedure Manual
3
E. Implementation
• Prompt Medical Attention
Prompt and appropriate medical attention is key to injury treatment. If an employee was
injured on the job they should get immediate medical attention. Any injury larger than a
“Band-Aid” should receive medical treatment.
• Incident / Injury Reporting
All employees have the responsibility to report all accidents and near-miss (those
unplanned events that do not result in injury, financial loss, or property damage)
incidents to their supervisor immediately.
The injured person’s supervisor shall fill out an Incident Investigation Report (see
Section 5.2 of the EH&S Manual). This report shall be sent to Environmental Health &
Safety and the Human Resources Department. The Mgr. EH&S will review the report
and follow-up on corrective action.
• Return to Work Program
A Return to Work program is beneficial to both employees and employers, thus the
College will implement a program when deemed prudent to do so as prescribed by a
medical professional. If it is determined by NCH that an employee is not able to
perform his/her normal duties but is able to perform other meaningful tasks, a
transitional duty assignment may be provided to the employee. The transitional duty
assignment is a short-term assignment until the physician has released the employee
to return to their normal duties.
• Workers’ Compensation Benefits
If, after initial treatment or examination at NCH, ER or personal physician, the injured
employee is authorized to be absent from work and /or will require additional treatment
or medical care, he/she may be eligible for certain disability benefits under the Illinois
Workers’ Compensation and Occupational Diseases Act. This will depend on the
length of the authorized absence and the nature of employment with the College.
Any follow-up medical/hospital expense incurred by an employee from NCH, his/her
personal physician and/or hospital facility for treatment of a work related injury should be
forwarded to Environmental Health & Safety.
Questions regarding Workers’ Compensation Benefits should be directed to either the
Manager, Environmental Health & Safety or the Human Resources Department.
Harper College
Environmental Health & Safety Procedure Manual
4
5.2 INCIDENT / INJURY INVESTIGATION
A. Objective
To determine the circumstances in the workplace that resulted in an incident, injury, or
near miss (those unplanned events that do not result in injury, financial loss, or property
damage), so that effective corrective action can be taken to prevent recurrence.
B. Scope
All occupational incidents, illnesses, and near misses shall be investigated.
C. Responsibilities
• Employees must immediately report all occupational incidents, illness and near misses
to their immediate supervisor.
• The supervisor of the area in which the incident, illness or near miss occurred shall
assure a complete and thorough accident investigation is conducted. An Incident
Investigation Report should be completed and a copy shall be sent to Environmental
Health & Safety with a second copy to Human Resources.
• Environmental Health & Safety will review the report to assure completeness,
accuracy, follow-up, prevention and to aid in determining benefits.
• Environmental Health & Safety can assist the supervisor in incident investigation and
completing the Incident Investigation Report as required.
D. Supervisor’s Investigation Procedures
• GO to the scene of the accident at once.
• TALK with injured person, if possible. Talk to witnesses. Stress getting the facts, not
placing blame or responsibility. Ask open-ended questions.
• LISTEN for clues in the conversations around you. Unsolicited comments often have
merit.
• ENCOURAGE people to give their ideas for preventing a similar accident.
• STUDY possible causes–unsafe conditions, unsafe practices.
• CONFER with interested persons about possible solutions.
• WRITE your accident report giving a complete, accurate account of the accident. Do
not offer opinions.
• FOLLOW-UP to make sure conditions are corrected. If they cannot be corrected
immediately, report this to the Manager of Environmental Health & Safety.
• PUBLICIZE corrective action taken so that all may benefit from the experience.
Harper College
Environmental Health & Safety Procedure Manual
5
E. Completing the Investigation Report
Once the investigation process is complete and the facts are known, prepare the 5.2-
Incident Investigation Report by filling out these questions:
Report Questions
• Details
1. - 14. Are self-explanatory but are important for administrative and follow-up
reasons
• Injury
15. Incident Type: This explains the type of incident being investigated, i.e., fall
from ladder, stepped on nail, electrical shock, struck by a vehicle, fire, lifting
materials, etc.
16. Part of Body Injured: Arm, leg, etc.
17. Lost Time: This is time lost due to an incident where the employee could not
return to work immediately.
18. Incident Treatment: This is where the employee was sent for treatment.
•
Description
19. Describe in complete detail what happened, ask open-ended investigative
questions such as where-when-why-how. Describe the activity the worker was
involved in, who else was involved (list witnesses), what materials, equipment or
tools were involved (SDS, Serial, and Model Numbers). Describe the types of
protective equipment required and how it was actually used.
• Cause
20. This is the most critical question in the investigation because it identifies the
act or condition requiring change that will control recurrence of like accidents. The
investigator needs to get beyond just the employee involved; evaluate all of the
management operational controls that could be responsible for the accident.
SPECIAL NOTATION: DO NOT STATE THAT THE INCIDENT WAS A RESULT OF
EMPLOYEE CARELESSNESS! SPECIFICALLY DEFINE THE UNSAFE ACT OR
CONDITION INVOLVED THAT MAY AT FIRST APPEARS TO BE
CARELESSNESS, I.E. DISTRACTION, NOISE STRESS, HEAT, COLD, OR OTHER
NATURAL AND UNNATURAL FACTORS.
• Evaluation
21. Violation of Safety Procedures: List procedures.
22. Appropriate Personal Protective Equipment: Describe the type of Personal
Protective Equipment.
23. Training: Did the employee receive appropriate training prior to the injury?
Describe the type of training and date of training received.
•
Correction
24.
Based on the information developed through previous questions; clearly define
steps that must be taken to prevent similar accidents in the future and solutions that
permanently fix the problem.
• Routing The Supervisor, should review the incident investigation report for
completeness and accuracy, sign and date the report, and forward it to the Manager
Environmental Health & Safety, (Sara Gibson, sgibson@harpercollege.edu
) and a
copy to Human Resources, (Jodie Olsen, jolsen@harpercollege.edu) .
Harper College
Environmental Health & Safety Procedure Manual
6
5.3 INCIDENT INVESTIGATION REPORT
1. Name of Employee:
2. Home Address:
3. Employee #:
4. Date of Birth: 5.Gender: Male or Female 6. Home or cell#:
7. Marital Status: Married, Single or Divorced 8. Department:
9. Classification: Classified, Super Con., IEA/NEA, ICOPS, Pro-Tech, Admin. Faculty Other
10. Check: Part time or Full time 11. Shift : 1st 2nd 3rd Other: AM/PM To AM/PM
12. Date of Incident: Time: 13. Location of Incident:
14. Was the activity the employee was involved in, part of, or within the employee’s regular job duties? Yes No NA
INJURY
15. Incident type:
16. Body part injured:
17. Did the incident result in lost time? Yes No
If yes last day worked:
18. Incident treatment
and date (check more
than one if necessary):
NCH - Date: Personal Physician – Date:
Hospital/ER – Date: Other – Date:
19. DESCRIPTION (Write a detailed description of what and how the incident happened, including witnesses.)
20. CAUSE (Identify unsafe acts or conditions–contributor factors–base cause–lack of management operational controls)
21. EVALUATION: Were there any violations of safety procedures? No Yes , If yes, explain:
22. Was appropriate personal protective equipment being worn/used? NA No Yes, If yes, explain:
Describe type of equipment:
23. Did the employee receive appropriate training prior to the injury? NA No
Yes
Describe Training & Date:
24. CORRECTION (How could this incident be avoided in the future? Describe changes or improvements in equipment,
procedures, training and/or personal protective equipment needed.)
25. Employee’s Signature:
Date:
26. Supervisor’s Signature:
Date:
Send completed report to EH&S (sgibson@harpercollege.edu) & HR (jolson@harpercollege.edu) Rev. 8/17
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